One family or a few families together can not change curriculum or "system".

It is possible to neutralize toxicity of school system by clever use of time and choice.

It needs a deaf year for friends and family.

How to go about it?

A thread -
1. Choose a school that is closest to your home. Preferably walking distance. Commute is a killer.
2. Time is most important tool. Choose a school that engages kids for minimum time. State board schools are best in this area. Esp schools that run in 2 shifts.
3. Getting marks in school exams should not be a priority. Only 12th std matters to an extent.
4. Self learning + help from parents, internet should be preferred way. No tuition classes at all.
5. Understanding questions and trying to get into examiners mind is essential skill in
exams and life. School is a good place to practice.
6. Experimenting with books is useful e.g. choosing to use only internet and avoid text book for one subject every year is a great way to understand subject as well as prescribed assessment methods.
7. Choosing one of two subject to focus and explore every year gives opportunity to generate interests. Extracurricular subjects like music, art, craft, literature, practical work like carpentry, plumbing, electricals can be explored this way.
8. Teaching younger children and even classmates is one of the best ways to learn and boost ability in the subject

9. Experiments like - this term I am going focus on classroom teaching of <subject> and not do anything extra. Let's see how my exam goes - are totally worth it
10. Ring fencing academics e.g. "no more than 90 min everyday" teaches focus and time management + priority learning.

Limiting time given to toxic activities e.g. useless projects, mindless homework, exam preparation, etc. is a life saver in school.
11. Limit competitive exams - Olympiads and scholarship exams - one a year is enough. This enables MCQ exam training without toxicity.

12. Ignoring school, friends and family pressure is for parents. By watching parents do this, kids learn to handle peer pressure.
If as a parent your really want kids to grow into confident, empirically driven self learners and you can somehow pretend to have steel gonads, school years can become golden years.
Your kids will love and respect you for this.

Except admission to state board school, I managed all these suggestion for my kids. They turned out to be happy and capable.

Give it a shot...
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More from @docbhooshan

16 May
#Covid #Learning
#change

There is lot of learning from Covid pandemic. I am hoping for following three changes to become part of Indian medical system.

I am eternal optimist.

a thread -
Change 1 -

I would like to see doctors following guidelines in treating ALL illnesses. Not getting straight jacketed but respecting research driven guidance.
Too many doctors claim to be geniuses and create cocktails that are useless at best and deadly at worst.
This would not only safeguard good doctors in litigation but put responsibility on bodies that form guidelines. If they want to bask in glory, they need to be accountable as well.
A sensible doctor finds good guidelines supportive, protective, uses them to rationalize treatment.
Read 10 tweets
13 May
#India
#covidvolunteers
If you are a non-professional volunteer during Covid times in India,
your own mental health may be under challenge.

Few thoughts on how to look after yourself and continue to be a valuable member of volunteer force.
1/n
Many telephone helplines and on ground help groups are working towards - advice on course of disease, finding beds/meds/food/support, arranging funerals and host of other services for the affected and their families.
This is excellent work. Much needed. People volunteering for such work online/on phone/on ground are noble souls.
They face uphill and sometimes hopeless task.
Manytimes their efforts draw a blank and sometimes patient passes away.
Read 20 tweets
9 May
#Thread
#Covid info for all

Everyday brings more complexity and more confusing information in public and professional domain.

Here I make an attempt to bring some clarity in my own understanding of this issue.
Basics -
In a complex, complicated, evolving, changing, poor-data situation, best policy is to stick to absolute basics to minimise harm caused by foolish intervention.

What does it mean in practical terms for Covid?
1. Focus on prevention - mask up all the time, avoid socialization and closed spaces, avoid places where you meet mask-less people.

2. Long term - lose extra weight, get blood sugar in normal range, keep other illnesses in good control. This reduces risk if you get Covid.
Read 8 tweets
6 May
#IMS
Indian Medical Service is doctors' demand for a long time.
As a doctor, I understand need to be NOT managed by non-medicos.

If I step back and think critically, few points emerge and we need answers for that before new system is demanded.

#thread
1. Fact - Someone needs to manage.
Due to complex nature of society, politics and modern medicine, that person has to be full time manager. Essentially unable to treat individual patients.
2. This person needs training in Public health and managing complex systems.
So all glorious clinical specialities are out of question.

3. Understanding finance is really the key. So is supply chain management !

Looking at all of this it is unlikely that basic/specialist medical training is enough for the job.
Read 7 tweets
25 Apr
#Culture
#India
#Healthcare

One of the reasons of Covid fatigue for doctors in India is "multiple consultations".

So far in entire year I have not come across EVEN ONE patient who consulted ONLY ONE doctor.
Even asymptomatic people or people with mildest of symptoms contact multiple doctors.

This is how we are.

Therefore I am totally against working for telephonic helplines. If they really audit their calls..
they will realise that most callers are calling up helpline "just to confirm" what 10 other doctors + actual treating doctor has already told them.
Read 8 tweets
23 Apr
Getting psychological help for children locally.
Indians settled in developed countries.
#Thread
Focus - mal treatement of child by a family member
Since I started practice in 2000, every year I receive 5-10 calls from Indians settled in EU, UK and north america about help for a child who is at risk from a family member (mostly father but occasionally mother too).
This involves the parent being emotionally and physically abusive towards child (almost always under 10 years of age).
These families are highly educated and well settled.

One of the parent usually has an anger issue/alcohol problem or long standing mental health issue.
Read 13 tweets

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